Rupp-Maiolatesi, Roseann Marie
Rupp-Maiolatesi, Roseann Marie is an sole proprietor health care provider with primary practice located at 117 Lackawanna Ave , Olyphant PA 18447-1449. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Rupp-Maiolatesi, Roseann Marie can be contacted via phone (570) 383-9601.Contact Information
Primary practice address
117 Lackawanna Ave
Olyphant PA 18447-1449
Phone: (570) 383-9601
Fax: (570) 383-9613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OE-007219-T | Pennsylvania |
Profile Details
| NPI number | 1972650943 |
|---|---|
| LBN Legal business name | Rupp-Maiolatesi, Roseann Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972650943 | NPPES |
| Pennsylvania | Other | 22504 | GEISINGER |
| Pennsylvania | Other | 075223 | GEISINGER |
| Pennsylvania | Other | 396606 | GEISINGER |
| Pennsylvania | Other | 736553 | GEISINGER |
| Pennsylvania | MEDICAID | 0014136220003 | GEISINGER |
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